1

Senior Corps

GRANT APPLICATION

Volume II

Foster Grandparent Program (FGP)

Senior Companion Program (SCP)

for

Competitive Applications

Non-Competitive Renewals

Continuation Applications

DRAFT FACSIMILE OF ELECTRONIC FORMS

Form is Authorized for Local Reproduction

CNCS Form 424-NSSC OMB Control No. 3045-0035-Expiration: 06/30/2014
OMB Control No. 3045-0035-Expires 06/30/2014

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TABLE OF CONTENTS

INSTRUCTIONS

I. Purpose ......................................................................................................................................................3

II: Required Sections .....................................................................................................................................4

 Part I: Facesheet Instructions (eGrants “Applicant”, “Application”, and “Funding Demographics” Sections) ....5

 Part II: Project Narratives Instructions (eGrants “Narratives” Sections)......................................................... 9

Part II Section A: Executive Summary ............................................................................................9

Part II Section B: Strengthening Communities. ..............................................................................10

Part II Section C: Recruitment and Development of Volunteers ......................................................13

Part II Section D: Program Management ......................................................................................12

Part II Section E: Organizational Capacity.....................................................................................13

Part II Section F: Other NOFA Requirements ................................................................................13

Part III: Performance Measures and Work Plans (eGrants “Work Plan” Sections)...................................15

Part III Section A: About Performance Measures Requirements .....................................................15

Part III Section B: About Work Plans.............................................................................................16

 Part IV: Required Documents ...................................................................................................................23

Part V: Budget Instructions (eGrants “Budget” Sections) ............................................................................24

Part V Section A: Volunteer Support Expenses .............................................................................24

Part V Section B: Volunteer Expenses .........................................................................................26

Part VI. Funding/Demographics (eGrants “Estimated Funding” Sections).........................................................27

Continuous Application Instructions................................................................................................................28

FORMS:

Part I – Facesheet ................................................................................................................................... 29

Roster of Active Volunteer Stations (Form and Instructions) ....................................................................... 30

APPENDICES:

eGrants Step-by-Step Instructions............................................................................................................. 15

eGrants Performance Measures Module (PMM) Step-by-Step Instructions............................................. 16-17

Work Plan Development Worksheets ........................................................................................................ 18

List of Service Activities and Instruments/Tools.......................................................................................... 21
OMB Control No. 3045-0035-Expires 06/30/2014

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SENIOR CORPS GRANT APPLICATION: GENERAL SUBMISSION INSTRUCTIONS1

(I) Purpose: 

The Senior Corps Grant Application of the Corporation for National and Community Service (CNCS) is for 

use by prospective and existing sponsors of Senior Corps projects under the RSVP Program (RSVP), 

Foster Grandparent Program (FGP) Senior Companion Program (SCP), and Senior Demonstration 

Programs (SDP). The forms in this package conform to CNCS’s web-based electronic grants management 

system, eGrants. 

If needed, please refer to eGrants step-by-step instructions as you complete the grant application, 

located here: LINK. 

TIP for new applicants in particular: You are encouraged to review and reference these instructions as 

you read these Grant Application Instructions and use eGrants.

The Senior Corps Grant Application Consists of two volumes:

1) Volume I – Used by applicants for RSVP grants. Instructions within the grant application indicate which 

sections are required for:

(A) – Competitive Grant Application Submissions

(B) – Non-Competitive Administrative Renewals (only as applicable).

(C) – Continuation Grant Application Submissions (current grantees only, for second or third years of a 

three-year grant).

2) Volume II – Used by applicants for Foster Grandparent and Senior Companion grants, including 

competitive grants, renewal (non-competitive grants), and continuation grants (current grantees in the 

second or third years of a three year grant). 

Instructions in this package apply to all applicants. The instructions address the types of information that 

must be included to fulfill application and grant requirements. 

New applicants must establish an eGrants account by accessing this link: 

https://egrants.cns.gov/espan/main/login.jsp and selecting: “Don’t have an eGrants account? Create an 

account.” 

For Applicants submitting Competitive Grants: Please use these Grant Application Instructions in 

conjunction with the Notice of Federal Funding Opportunity (Notice) and RSVP Program Regulations 

[45 CFR Part 2553]. The Notice includes deadlines, eligibility requirements, submission requirements, 

review criteria and other information applicable to RSVP grant competitions. The NOFO is located 

here: INSERT

For non-competitive grants, the CNCS office in each state will provide notification instructions, including 

when to begin your next grant application in eGrants.

 

1 OMB No. 3045-0035. The collection of this information is authorized by the provisions of the Domestic Volunteer Service Act of 1973, as amended, 

and the National and Community Service Trust Act of 1993. This agency informs the potential persons who may respond to the collection of information 

that such persons are not required to respond to this collection of information unless it displays a currently valid OMB control number. Estimated time to 

complete this application, including time for reviewing instructions, searching existing data sources, gathering and maintaining data needed, and 

completing and reviewing the collection of information averages 13.2 hours per response (16.5 for new applicants, 15 for previous sponsors, and 5 for 

revisions). If you have any comments regarding this collection of information, send them to: Corporation for National and Community Service, Senior 

Corps, Attn: Angela Roberts, 1201 New York Avenue, W, Washington, D.C. 20525. As required by Section 504 of the Rehabilitation Act of 1973, as 

amended, this application may be available in alternative formats. Make TTD/TTY inquiries to: (202) 565-2799. Direct written inquiries to: Senior 

Corps, 1201 New York Ave. NW, 9th Floor, Washington, DC 20525. Direct telephone inquiries to: (202) 606-5000, Ext. 554.
OMB Control No. 3045-0035-Expires 06/30/2014

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Prohibited Activities

For FGP and SCP competitive applications, please refer to the Notice. 

For FGP continuation grants, please refer to the FGP Regulations link. 

For SCP continuation grants, please refer to the SCP Regulations link.

(II) Required Sections of the Grant Application

(a) First-time Applicants for an RSVP, Foster Grandparent, or Senior Companion Grant that are 

applying for a competitive grant or current Foster Grandparent or Senior Companion grantees 

applying for a new multi-year renewal grant must complete all sections of the Grant 

Application:

 Part I: Facesheet (Modified Standard Form 424 NSSC) – Page 15 

 Part II: Budget (NSSC Form 424A) – Pages 16-17

 Part III: Project Narratives – Page

 Part IV: Work Plans – Pages 9-10 

 Attachments: Required attachments are indicated on Page 14

 Assurances (Standard Form 424B) – Page 21 

 Certifications (NSSC Form 424C) – Page 22 

(b) Non-Competitive Continuation Applications: Years 2 and 3 of the Multi-Year Grant must 

complete the following sections:

 Part I: Facesheet (Modified Standard Form 424 NSSC) – Page 15 

 Part II: Budget (NSSC Form 424A) – Page 16-17

 Part III- Section ___: Executive Summary – Page and amend any existing information if not relevant 

or current for the upcoming grant performance period.

 Part IV: Work Plans – Update work plans that have changed from initial submission so to remain 

consistent with the proposed activities and performance measures.

 Attachments: As specified for continuation projects on Page 14

 Other: Updates of any other sections of the application or the required attachments if significant 

changes have occurred or are anticipated during Year 2 or Year 3.

1 OMB No. 3045-0035. The collection of this information is authorized by the provisions of the Domestic Volunteer Service Act of 1973, as amended, 

and the National and Community Service Trust Act of 1993. This agency informs the potential persons who may respond to the collection of information 

that such persons are not required to respond to this collection of information unless it displays a currently valid OMB control number. Estimated time to 

complete this application, including time for reviewing instructions, searching existing data sources, gathering and maintaining data needed, and 

completing and reviewing the collection of information averages 13.2 hours per response (16.5 for new applicants, 15 for previous sponsors, and 5 for 

revisions). If you have any comments regarding this collection of information, send them to: Corporation for National and Community Service, Senior 

Corps, Attn: Angela Roberts, 1201 New York Avenue, W, Washington, D.C. 20525. As required by Section 504 of the Rehabilitation Act of 1973, as 

amended, this application may be available in alternative formats. Make TTD/TTY inquiries to: (202) 565-2799. Direct written inquiries to: Senior 

Corps, 1201 New York Ave. NW, 9th Floor, Washington, DC 20525. Direct telephone inquiries to: (202) 606-5000, Ext. 554.

Note: Submission of a grant application does not assure receipt of a grant award.
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PART I: FACESHEET INSTRUCTIONS: eGrants “Applicant”, “Application”, and “Funding 

Demographics” Sections

Must Be Completed by ALL Applicants for Competitive Grants

Must Be Updated for Accuracy by all Grantees entering Continuation Years

Information entered in the Applicant Info, Application Info, and Budget sections will populate the SF 424 

Facesheet in the eGrants system. The items below coincide to sections of the SF 424 Facesheet. 

Please enter or update the requested information in the fields that appear. The contact person needs to 

be the person who can answer questions about the application. 

Item #

1. Filled in for your convenience.

2. Self-explanatory.

3. 3.a. and 3.b. are for State use only (if applicable).

4. Item 4.a: Leave blank

Item 4.b: If you are a current grantee applying for year 2 or 3 of an already-awarded grant, enter the grant 

number. Otherwise, leave blank.

5. This section contains the Applicant Information. Please enter the following information:

a. The complete name of the organization that will be legally responsible for the grant. This is not the 

name of the organizational unit within the legally responsible organization. For example, indicate 

“National University” instead of “Liberal Arts Department.”

b. The name of the primary organizational unit that will undertake the assistance activity, if different from 

5.a. Using the example above, here is the place to use “Liberal Arts Department.”

c. Your organization’s complete address with the 5-digit ZIP code and the 4-digit extension. The 4-digit 

ZIP code extension is required.

d. The name and contact information of the project director or other person to contact on matters related 

to this application. 

6. Enter your Employer Identification Number (EIN) as assigned by the Internal Revenue Service.

6a. Enter your Organization’s Dun and Bradstreet Data Universal Numbering System (DUNS) number. If 

needed, the applicant organization may obtain a DUNS number by calling the request line at (866) 705-

5711 or online at http://www.dnb.com.

7. Item 7.a.: Enter the appropriate letter in the box.

Item 7.b: Consult the following list of characteristics of applicants and enter (all that apply) the 

corresponding numbers, each in a separate blank. 
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1. 2-year college 17. Local Government Municipal

2. 4 year college 18. National Non-profit (Multistate)

3. Area Agency on Aging 19. Other Native American Organization

4. Chamber of Commerce/Business 

Association

20. Other State Government

5. Community Action Agency/ Community 

Action Program

21.School (K-12)

6. Community College 22. Self-Incorporated Senior Corps 

Project

7. Community-Based Organization 23. Service/Civic Organization

8. Faith-based organization 24. State Commission/Alternative 

Administrative Entity

9. Governor’s Office 25. State Education Agency

10.Grant-making Entity Operating in Two or 

More States

26. Statewide Association

11.Health Department 27. Tribal Government Entity

12.Hispanic Serving College or University 28. Tribal Organization (nongovernment)

13.Historically Black College or University 

(HBCU)

29. U.S. Territory

14.Law Enforcement Agency 30. Vocational/Technical College

15.Local Affiliate of National Organization 31. Volunteer Management 

Organization

16.Local Education Agency

8. Check the appropriate box for type of application and enter the appropriate letter(s) in the lower boxes:

a. Check “New” if you are applying for a new competitive FGP, SCP, or SDP grant.

b. Check “Continuation” if you are a current grantee applying for your second or third year of funding.

c. Check “Amendment” if you are a grantee proposing any change in your budget, requesting a no 

cost extension, or revising your Work Plans. 

If you are proposing an Amendment to your grant, check the type of revision you are submitting.

a. Select “Budget Revision” if you are a Senior Corps FGP, SCP, or SDP grantee submitting a revised 

budget to incorporate a Corporation-authorized increase.

b. Select “Budget Revision” if you are a Senior Corps FGP, SCP, or SDP grantee submitting a revised 

budget to incorporate a Corporation-authorized decrease.

c. Select “No Cost Extension” to request an extension of the grant period, then enter the extension 

date requested in the blank following the checkbox. No-cost extensions must be requested before 

the project period ends.

d. Select “Augmentation” if you are taking an action that changes the programming of the awarded 

grant. 

e. Select “Other,” as applicable, and specify in the blank provided.

 

9. Filled in for your convenience.

10. Use the following list of CFDA (Catalog of Federal Domestic Assistance) number for FGP, SCP, or SDP:

94.00 Foster Grandparent Program (FGP)

94.00 Senior Companion Program (SCP)

94.00 Senior Demonstration Program (SDP)

11. Select the appropriate link or dropdown project to:

a. Enter the title of the project. (For example, SCP of Cabot County, FGP of Cabot County)
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b. Enter the name of the CNCS program initiative, if any, as provided in the instructions corresponding 

to the NOFA for which you are applying; otherwise, lease blank.

12. List all of the geographic locations where the service will occur or is occurring. Please designate by the 

county or counties. Please include all counties applicable. 

For competitive grants, please also include the appropriate state and number of the grant opportunity 

from the Notice (for example: North Carolina #3).

13. Please reference Item 8 (Above) 

 “New: Enter the proposed project Start and End Dates. This is a 3-year period, also known as the 

“project period.”

 “Continuation” or “Amendment” application: Enter the dates of the approved project period.

14. Fill in the performance period. The “performance period” is the duration covered by the budget, and is 

usually defined as 12-months. If other than 12-months, the Notice or supplemental guidance will indicate 

the performance period. 

15. Estimated Funding: Enter the amount requested or to be contributed during this performance period

on the appropriate line, as shown below. The value of in-kind contributions should be included in these 

amounts, as applicable. For revisions (See item 8), if the action will result in a dollar change to an 

existing award, include only the amount of the change. For decreases, enclose the amounts in 

parentheses.

(a) Federal The total amount of Federal funds being requested in the budget. This amount is 

automatically populated based on budget sections I and II.

(b) Applicant The total amount of the applicant share as entered in the budget. This amount is 

automatically populated based on budget sections I and II.

(c) Local The amount of the applicant share that is coming from local sources.

(d) State The amount of the applicant share that is coming from state sources.

(e) Other The amount of the applicant share that is coming from other sources.

(f) Income The amount of the applicant share that is coming from income generated by 

programmatic activities.

(g) Total The applicant's estimate of the total funding amount for the agreement. This amount is 

automatically populated based on budget sections I and II.

16. Indicate if this application is subject to review by the state "Executive Order 12372 Process" by checking 

the box. Executive Order 12372, "Intergovernmental Review of Federal Programs," was issued with the 

desire to foster the intergovernmental partnership and strengthen federalism by relying on state and local 

processes for the coordination and review of proposed federal financial assistance and direct Federal 

development. The Order allows each state to designate an entity to perform this function. A list of these 

"Single Point of Contact" entities can be found at: http://www.whitehouse.gov/omb/grants_spoc. 

Contact the Single Point of Contact to determine whether your application is subject to the state 

intergovernmental review process.

a. If Yes, indicate the date a copy of your application was submitted to the state for review under the 

Executive Order 12372 Process

b. If No, check the appropriate box.

17. Check the appropriate box. This question applies to the applicant organization, not the person who signs 

as the authorized representative. Categories of debt include delinquent audit allowances, loans, and 

taxes. If Yes, attach an explanation.

18. Signature. Please note that this is an electronic signature that results from submitting the grant application 

in the electronic grants management system, eGrants. The person who signs this form must be the 
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applicant’s authorized representative. A copy of the governing body’s authorization for this official 

representative to sign must be on file in the applicant’s office. 

Note: Falsification or concealment of a material fact, or submission of false, fictitious or fraudulent 

statements or representations to any department or agency of the United States Government may 

result in a fine of not more than $10,000 or imprisonment for not more than five (5) years, or both. 

(18 U.S. Code Section 1001)
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PART II: PROJECT NARRATIVES INSTRUCTIONS (eGrants “Narratives” Sections)

The purpose of the program narratives and the accompanying Work Plans (see Part IV) is for you to 

provide a project plan with a clear and compelling justification for achieving results with the requested 

funds. 

You may not exceed 25 double-spaced pages for the Narratives, including the Executive Summary

as the pages print out from eGrants. 

In the case of competitive grants, reviewers will not consider material submitted over the page limit, 

even if eGrants allows you to enter and submit text over the limit. From the Review and Submit page, print 

out your application prior to final submission to ensure it is not over the 25 page limit. This limit does not 

include the budget and performance measures. 

PART II – SECTION A. EXECUTIVE SUMMARY

Must be completed by all applicants: Competitive Applicants and Continuation Grantees

Please provide a summary of your proposed or ongoing project. The Executive Summary must be no 

longer than one page. 

The summary should include:

 The number of unduplicated Foster Grandparent or Senior Companion volunteers serving or that will 

serve.

 The types of populations they serve or will serve, such as children, frail seniors, veterans, etc.

 The primary focus area that the project will address. 

 The volunteer service activities or what they actually do or will they actually do.

 The locations of these service activities.

 The expected results or outcomes of the volunteers’ services.

 The number of stations

 The federal funding level

 The non-federal funding level

You may adopt and fill in the blanks on the following template to complete your Executive Summary: “An 

estimated [fill in the number] FGP or SCP volunteers will serve. They will [fill in service activities] 

through a network of [fill in the number of volunteer stations/placement sites] such as [fill in types of 

organizations where the volunteers serve or will serve]. The primary focus area of this project is [fill in 

CNCS Focus Area]. At the end of the 12-month performance period, [fill in the anticipated outcome(s)]. 

The CNCS federal investment of $ [fill in the annual federal grant amount or the requested amount] 

will be supplemented by $ [fill in the anticipated level of non-federal resources]. 

NOTE: CNCS will post these summaries on www.nationalservice.gov in the interest of transparency and 

Open Government.
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PART II – SECTION B. STRENGTHENING COMMUNITIES

Must Be Completed by ALL Applicants for Renewal Grants

Must Be Updated for Accuracy by all Grantees entering Continuation Years

Guideline for Writing Your Narratives

As you write your grant application narratives, which are found in Part III – Sections B through E of 

this application, unless otherwise noted, please focus your descriptions on how you will achieve will 

achieve outcomes. Below, please find the Performance Measure Requirements for each program –

FGP and SCP.

The recommended number of pages for this section is: ______

Grants must align with the FGP or SCP Performance Measures Requirements, respectively. These 

requirements are listed below, and are repeated in Part IV – Work Plans.

FGP Applicants: See Part IV(a) 

SCP Applicants: See Part IV(b)

1) Performance Measures Requirements

Your grant application must reflect the Performance Measures Requirements established for the 

Foster Grandparent Program and Senior Companion Program, respectively, as noted below. The 

performance measures are documented as a required part of the work plans submitted as part of 

your grant application.

The unit of measure for Foster Grandparent and Senior Companion Program performance 

measures requirements is “unduplicated volunteers.” “Unduplicated volunteers” means that each 

FGP or SCP volunteer is only counted once, even if the volunteer is engaged in more than one 

activity. 

Please review the Performance Measures Requirements for the Foster Grandparent Program and 

Senior Companion Program on the following pages prior to writing your grant application 

narratives.
Foster Grandparent Program Performance Measures Requirements

Your grant application must reflect the Performance Measures Requirements established for the 

Foster Grandparent Program, as listed in items A) an

documented as a required part of the work plans submitted as part of your grant application.

A) Requirement 1: At least 75 percent of the unduplicated Foster Grandparent volunteers must be 

in work plans address AgencyReadiness.

B) Requirement 2: No more than 25 

can be placed in assignments that address:

 Agency-Wide Outputs in K

 Complementary Measures Outputs in Child Safety, Welfare, and Health; Education; 

Economic Opportunity. 

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Foster Grandparent Program Performance Measures Requirements

Your grant application must reflect the Performance Measures Requirements established for the 

Foster Grandparent Program, as listed in items A) and B) below. The performance measures are 

documented as a required part of the work plans submitted as part of your grant application.

At least 75 percent of the unduplicated Foster Grandparent volunteers must be 

-Wide Priority Measure Outcomes for K-12 Success and/or School 

No more than 25 percent of the unduplicated Foster Grandparent v

can be placed in assignments that address:

Wide Outputs in K-12 Success and/or School Readiness and/or

Complementary Measures Outputs in Child Safety, Welfare, and Health; Education; 

Foster Grandparent Program Performance Measures Requirements

Your grant application must reflect the Performance Measures Requirements established for the 

d B) below. The performance measures are 

documented as a required part of the work plans submitted as part of your grant application.

At least 75 percent of the unduplicated Foster Grandparent volunteers must be 

12 Success and/or School 

Foster Grandparent volunteers 

Readiness and/or

Complementary Measures Outputs in Child Safety, Welfare, and Health; Education; 
Senior Companion Program Performance Measures Requirements

Your grant application must reflect the Performance Measures 

Senior Companion Program, as listed in items A) and B) below. The performance measures are 

documented as a required part of the work plans submitted as part of your grant application.

A) Requirement 1: At least 90 percent of the unduplicated Senior Companion volunteers must be 

in work plans address AgencyOutcome and/or Complementary Program Measures 

B) Requirement 2: No more than 10 percent of the unduplicated Senior Companion volunteers can 

be placed in assignments that address the Assisted Living Output Measure

available to projects who have volunteers currently

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Senior Companion Program Performance Measures Requirements

Your grant application must reflect the Performance Measures Requirements established for the 

Senior Companion Program, as listed in items A) and B) below. The performance measures are 

documented as a required part of the work plans submitted as part of your grant application.

At least 90 percent of the unduplicated Senior Companion volunteers must be 

-Wide Priority Measures in Healthy Futures - Independent Living 

Outcome and/or Complementary Program Measures - Respite Care Outcome

more than 10 percent of the unduplicated Senior Companion volunteers can 

be placed in assignments that address the Assisted Living Output Measure. This option is only

s who have volunteers currently in assisted living assignments

Senior Companion Program Performance Measures Requirements

Requirements established for the 

Senior Companion Program, as listed in items A) and B) below. The performance measures are 

documented as a required part of the work plans submitted as part of your grant application.

At least 90 percent of the unduplicated Senior Companion volunteers must be 

Independent Living 

Respite Care Outcome.

more than 10 percent of the unduplicated Senior Companion volunteers can 

This option is only

in assisted living assignments.
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PART II – SECTION B. STRENGTHENING COMMUNITIES

Must Be Completed by ALL Applicants for Competitive Grants

Must Be Updated for Accuracy by all Grantees entering Continuation Years

The recommended number of pages for this section is: ______

In your Strengthening Communities Narrative, please respond to the following: 

 Describe the community you serve. Provide persuasive evidence that identify the community needs. For 

the FGP, this primary focus area is Education. For the SCP, this primary focus area is Healthy Futures –

Independent Living and/or Respite for Caregivers. Use demographic information, census data, or other 

sources as needed to present your case.

 Describe the ways in which the volunteers can serve as effective resources to address the community’s 

need in the focus area. 

 Describe the service activities of the volunteers that will lead to National Performance measures.

 Link the following three major elements in the primary focus area so that the service activities address the 

need, and result in the anticipated outputs and/or outcomes: 

1. the community needs identified, 

2. the service activities that will be carried out by FGP or SCP volunteers 

3. the anticipated output(s) or outcome(s)

PART II – SECTION C. RECRUITMENT AND DEVELOPMENT OF VOLUNTEERS

Must Be Completed by ALL Applicants for Competitive Grants

Must Be Updated for Accuracy by all Grantees entering Continuation Years

The recommended number of pages for this section is: ______

In this section of the narrative, please describe: 

 Your plan and infrastructure to match skilled volunteers with volunteer stations that can benefit from 

volunteers with specific skills. 

 Your plan and infrastructure to develop volunteer assignments with opportunities to acquire skills, develop 

leadership, reflect on the meaning of service, and enhance the quality of the volunteers’ own lives. 

 Your plan and infrastructure to recruit disabled FGP or SCP volunteers, including individuals with agerelated disabilities

 Your plan and infrastructure to retain and recognize the FGP or SCP volunteers
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PART II – SECTION D. PROGRAM MANAGEMENT

Must Be Completed by ALL Applicants for Competitive Grants

Must Be Updated for Accuracy by all Grantees entering Continuation Years

The recommended number of pages for this section is: _______

In this section, describe specific plans and strategies for overall management of the FGP or SCP project that 

you propose. Please focus your narrative on the following:

 The structure and plans to ensure management of volunteer stations in compliance with FGP or SCP 

program regulations. 

 The plans to develop capacity to recruit and manage volunteer stations that address specified community 

needs outside the primary focus area.

 The plans and capacity to responsibly graduate volunteer stations that do not address specific community 

needs and to minimize disruptions to current volunteers where possible.

 The plan and infrastructure to assure national performance measure outcomes and outputs are measured.

 The plan and infrastructure to manage project resources, both financial and in-kind, to ensure 

accountability and efficient and effective use of available resources.

PART II – SECTION E. ORGANIZATIONAL CAPABILITY

Must Be Completed by ALL Applicants for Competitive Grants

Must Be Updated for Accuracy by all Grantees entering Continuation Years

Briefly describe your organization’s capacity to operate the FGP or SCP project that you propose with respect 

to: 

 The capability for and plans to provide sound programmatic and fiscal oversight, day-to-day operational 

support and data collection, to include clearly defined internal policies.

 Descriptions of clearly defined staff positions, including (as applicable) identification of current staff 

assigned to the project. 

 Your organization’s track record in the primary focus area, senior service, managing volunteers, and in 

measuring performance.

 Demonstration of organizational infrastructure, including: (1) Tangible assets such as facilities and 

equipment, (2) Governance structure and operations, such as internal policies, purchasing procedures, 

and personnel management, and (3) Role of a community participation group, such as an FGP or SCP 

advisory council, to ensure input from the community.

 The existence of robust financial management systems and past experience managing federal grant 

funds

 How your organization will sustain the proposed required non-federal share.
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PART II – SECTION F. OTHER NOFA REQUIREMENTS – REFERENCE ONLY

This section is used, as needed, to address any additional program requirements that appear in the 

published Notice of Funding Availability (NOFA) or supplemental instructions. Refer to the NOFA for 

specifics.

PART III – PERFORMANCE MEASURES AND WORK PLANS – eGRANTS WORK PLAN SECTION

Must be completed by all Renewal Applicants

Current FGP grantees submitting non-competitive continuation applications MUST UPDATE the 

continuation grant application to reflect any changes from previous submission to ensure the 

Performance Measures and Work Plans are aligned to the proposed activities and outcomes in the 

upcoming year.

PART III (a): Foster Grandparent Program (FGP)

 Performance Measures and Work Plans - eGrants “Work Plan” Section

PART IV. SECTION A. 

1) Foster Grandparent Program (FGP) Performance Measures

Performance Measures are the means by which FGP grantees demonstrate tangible outcomes 

and results of the volunteers’ services in the community. Performance Measures include the “what” 

– or the indicators; the “how” – or the tools; and the “proof” – or the targets. 

2) FGP Performance Measures Requirements 

Your grant application must reflect the Performance Measures Requirements established for the 

Foster Grandparent Program, as listed in items A) and B) below. The performance measures are 

documented as a required part of the Work Plans submitted as part of your grant application.

C) Requirement 1: At least 75 percent of the unduplicated Foster Grandparent volunteers must be 

in work plans address Agency-Wide Priority Measure Outcomes for K-12 Success and/or School 

Readiness.

D) Requirement 2: No more than 25 percent of the unduplicated Foster Grandparent volunteers 

can be placed in assignments that address:

 Agency-Wide Outputs in K-12 Success and/or School Readiness and/or

 Complementary Measures Outputs in Child Safety, Welfare, and Health; Education; 

Economic Opportunity. 

There are tools available to help you develop your work plans:

 The list of FGP Performance Measures can be found in Appendix ____.

 The Work Plan Development Worksheets can be found in Appendix ____.
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3) About Work Plans

 A Work Plan is a task plan with action steps to address a specified community need. In 

the grant application, these Work Plans form the basis for a proposed project plan: the 

need the volunteers will address, what they will do, what their service should accomplish for 

each 12-month performance period of the grant.

 Work Plans follow a standard format. 

 Work Plans capture the focus of the volunteers’ services in standard categories. These 

include Focus Areas and Service Activities. 

4) How many Work Plans are needed?

The number of Work Plans needed is determined by how you place your volunteers, and by the 

types of service activities they will undertake. 

5) How are Work Plans completed?

Data that you enter into the eGrants Performance Measures Module (PMM) are the basis for 

your work plans. As you enter data on the community need and select your outcomes, outputs, 

service activities and other information, the eGrants PMM will build your work plans for you. 

Attachment ____ consists of worksheets designed to help you plan your performance measures. 

These worksheets can help to organize how you will fit your performance measures together with 

the volunteer activities. We recommend that you use the worksheets and instructions to map out 

your work plans, and then use the completed worksheets to transfer the information into the 

eGrants PMM.

Please click here for step-by-step instructions on how to use the eGrants PMM.

6) Which sections of the Work Plans must be completed and what is the purpose of each section?

The following sections must be completed for all outcome work plans addressing the requirement of 75 

percent of Foster Grandparent volunteers serving in Agency-Wide Priority Measure Outcomes 

for K-12 Success and/or School Readiness. 

(a) Description of Community Need: The description of the community need must be completed for 

each output you select. This needs statement should explain the compelling need that will be 

addressed by the volunteers. When you develop your community need, be sure to:

 Describe the need in enough detail to convey its importance in the community. Use of local 

statistics can be helpful to make your case.

 Describe the consequences of the need going unmet in the community.

 Describe why Foster Grandparent volunteers can be effective resources to meet the need.

 Describe the need in a way that is clear to people unfamiliar with your community. Do not 

assume that other readers have an existing understanding.

(b) Primary Focus Area and Objective: the Focus Area and Objective must be completed by 

selecting the correct options on the pull down menus in the eGrants PMM.

(c) Output: Outputs are the immediate results of the volunteers’ services. These are usually counts –

numbers of children served, etc. The output is selected using the pull down menu in the eGrants 

PMM.

 The list of Service Activities, which are part of each work plan you develop can be found in Appendix ____.

 A list of Suggested Tools and Instruments, which can be used to measure your results can be found in Appendix ____.
17

(d) Service Activity: The service activity is the actual task (such as tutoring, mentoring) that the 

volunteers will perform. For each output, you may select more the one service activity. The service 

activities are selected using the pull down menu in the eGrants PMM. For each service activity

selected, the eGrants PMM will create a separate work plan.

(e) Number of Unduplicated Volunteers: This is the proposed number of volunteers who will be 

performing each service activity. Each volunteer can only be counted once when assigned to a 

service activity. The volunteer should be counted in the area where he/she will make the most 

impact – in terms of the type of service or in terms of the scope of service, such as the most 

number of hours served.

(f) Total Number of Volunteers: Here, you enter the total volunteers engaged in the activities, if 

you were to assign all of them according to each activity. In this way, volunteers can be 

counted more than once – for example, if the same volunteer does two different types of 

activities such as tutoring AND mentoring, you can account for both assignments in this field.

(g) Targets: The target is the number that you anticipate achieving in the performance period 

(usually 12 months). For example, if you think your volunteers will serve 50 children in Head 

Start over the course of the performance period, you would enter 50 as your target.

(h) Instrument used for Tracking Output: This is the tool that will be used for data collection. 

The Instrument is selected using the pull down menu in the eGrants PMM. 

(i) Outcome: Outcomes are the longer term or permanent change or improvement expected in 

the community due to the volunteers and their services. The outcome is selected using the pull 

down menu in the eGrants PMM. As noted in the requirement sections, a minimum of 10 

percent of your total unduplicated volunteers must be in assignments with outcomes 

(j) Instrument used for Tracking Output: This is the tool that will be used for data collection. 

The Instrument is selected using the pull down menu in the eGrants PMM. 

6.1 Which sections of the Work Plan must be completed for the no more than 25 percent of 

unduplicated Foster Grandparent volunteers can be placed in assignments that address:

 Agency-Wide Outputs in K-12 Success and/or School Readiness and/or

 Complementary Measures Outputs in Child Safety, Welfare, and Health; Education; 

Economic Opportunity. 

(a) Description of Community Need: The description of the community need must be completed for each 

output you select. This needs statement should explain the compelling need that will be addressed by 

the volunteers. When you develop your community need, be sure to:

 Describe the need in enough detail to convey its importance in the community. Use of local 

statistics can be helpful to make your case.

 Describe the consequences of the need going unmet in the community.

 Describe why Foster Grandparent volunteers can be effective resources to meet the need.

 Describe the need in a way that is clear to people unfamiliar with your community. Do not 

assume that other readers have an existing understanding.

(b) Primary Focus Area and Objective: For FGP, the Primary Focus Area is Education. The Objectives 

must be completed by selecting the correct options on the pull down menus in the eGrants PMM.
18

(c) Output: Outputs are the immediate results of the volunteers’ services. These are usually counts –

numbers of children served, etc. The output is selected using the pull down menu in the eGrants PMM.

(d) Service Activity: The service activity is the actual task (such as tutoring, mentoring) that the volunteers 

will perform. For each output, you may select more the one service activity. The service activities are 

selected using the pull down menu in the eGrants PMM. For each service activity selected, the 

eGrants PMM will create a separate work plan.

(e) Number of Unduplicated Volunteers: This is the proposed number of volunteers who will be 

performing each service activity. Each volunteer can only be counted once when assigned to a service 

activity. The volunteer should be counted in the area where he/she will make the most impact – in 

terms of the type of service or in terms of the scope of service, such as the most number of hours 

served.

(f) Total Number of Volunteers: Here, you enter the total volunteers engaged in the activities, if you 

were to assign all of them according to each activity. In this way, volunteers can be counted more 

than once – for example, if the same volunteer does two different types of activities such as 

tutoring AND mentoring, you can account for both assignments in this field.

(g) Targets: The target is the number that you anticipate achieving in the performance period (usually 

12 months). For example, if you think your volunteers will serve 50 children in Head Start over the 

course of the performance period, you would enter 50 as your target.

(h) Instrument used for Tracking Output: This is the tool that will be used for data collection. The 

Instrument is selected using the pull down menu in the eGrants PMM. 
19

PART III(b): Senior Companion Program (SCP):

 Performance Measures and Work Plans - eGrants “Work Plan” Section

Must be completed by all Renewal Applicants

Current SCP grantees submitting non-competitive continuation applications MUST UPDATE the 

continuation grant application to reflect any changes from previous submission to ensure the 

Performance Measures and Work Plans are aligned to the proposed activities and outcomes in the 

upcoming year.

PART III. SECTION A. 

1) Senior Companion Program (SCP) Performance Measures

Performance Measures are the means by which SCP grantees demonstrate tangible outcomes 

and results of the volunteers’ services in the community. Performance Measures include the “what” 

– or the indicators; the “how” – or the tools; and the “proof” – or the targets. 

2) SCP Performance Measures Requirements 

Your grant application must reflect the Performance Measures Requirements established for the 

Senior Companion Program, as listed in items A) and B) below. The performance measures are 

documented as a required part of the Work Plans submitted as part of your grant application.

C) Requirement 1: At least 90 percent of the unduplicated Senior Companion volunteers must be 

in work plans address Agency-Wide Priority Measures in Healthy Futures - Independent Living 

Outcome and/or Complementary Program Measures - Respite Care Outcome.

D) Requirement 2: No more than 10 percent of the unduplicated Senior Companion volunteers can 

be placed in assignments that address the Assisted Living Output Measure. This option is only

available to projects who have volunteers currently in assisted living assignments.

3) About Work Plans

 A Work Plan is a task plan with action steps to address a specified community need. In 

the grant application, these Work Plans form the basis for a proposed project plan: the 

need the volunteers will address, what they will do, what their service should accomplish for 

each 12-month performance period of the grant.

There are tools available to help you develop your work plans:

 The list of SCP Performance Measures can be found in Appendix ____.

 The Work Plan Development Worksheets can be found in Appendix 

____.

 The list of Service Activities, which are part of each work plan you 

develop can be found in Appendix ____.

 A list of Suggested Tools and Instruments, which can be used to measure 

your results can be found in Appendix ______. 
20

 Work Plans follow a standard format. 

 Work Plans capture the focus of the volunteers’ services in standard categories. These 

include Focus Areas and Service Activities. 

4) How many Work Plans are needed?

The number of work plans needed is determined by how you place your volunteers, and by the 

types of service activities they will undertake. 

5) How are Work Plans completed?

Data that you enter into the eGrants Performance Measures Module (PMM) are the basis for 

your work plans. As you enter data on the community need and select your outcomes, outputs, 

service activities and other information, the eGrants PMM will build your work plans for you. 

Attachment ____ consists of worksheets designed to help you plan your performance measures. 

These worksheets can help to organize how you will fit your performance measures together with 

the volunteer activities. We recommend that you use the worksheets and instructions to map out 

your work plans, and then use the completed worksheets to transfer the information into the 

eGrants PMM.

Please click here for step-by-step instructions on how to use the eGrants PMM.

6) Which sections of the Work Plans must be completed and what is the purpose of each section?

A) The following sections must be completed for all outcome work plans addressing the requirement 

of 90 percent of Senior Companion volunteers serving in Agency-Wide Priority Measures 

in Healthy Futures - Independent Living Outcome and/or Complementary Program 

Measures - Respite Care Outcome.

(a) Description of Community Need: The description of the community need must be completed for 

each output you select. This needs statement should explain the compelling need that will be 

addressed by the volunteers. When you develop your community need, be sure to:

 Describe the need in enough detail to convey its importance in the community. Use of local 

statistics can be helpful to make your case.

 Describe the consequences of the need going unmet in the community.

 Describe why Senior Companion volunteers can be effective resources to meet the need.

 Describe the need in a way that is clear to people unfamiliar with your community. Do not 

assume that other readers have an existing understanding.

(b) Primary Focus Area and Objective: the Focus Area and Objective must be completed by 

selecting the correct options on the pull down menus in the eGrants PMM.

(c) Output: Outputs are the immediate results of the volunteers’ services. These are usually counts –

numbers of clients served, etc. The output is selected using the pull down menu in the eGrants 

PMM.

(d) Service Activity: The service activity is the actual task (such as tutoring, mentoring) that the 

volunteers will perform. For each output, you may select more the one service activity. The service 

activities are selected using the pull down menu in the eGrants PMM. For each service activity

selected, the eGrants PMM will create a separate work plan.

(e) Number of Unduplicated Volunteers: This is the proposed number of volunteers who will be 

performing each service activity. Each volunteer can only be counted once when assigned to a 

service activity. The volunteer should be counted in the area where he/she will make the most 
21

impact – in terms of the type of service or in terms of the scope of service, such as the most 

number of hours served.

(f) Total Number of Volunteers: Here, you enter the total volunteers engaged in the activities, if 

you were to assign all of them according to each activity. In this way, volunteers can be 

counted more than once – for example, if the same volunteer does two different types of 

activities such as companionship AND transportation, you can account for both assignments in 

this field.

(g) Targets: The target is the number that you anticipate achieving in the performance period 

(usually 12 months). For example, if you think your volunteers will serve 50 clients over the 

course of the performance period, you would enter 50 as your target.

(h) Instrument used for Tracking Output: This is the tool that will be used for data collection. 

The Instrument is selected using the pull down menu in the eGrants PMM. 

(i) Outcome: Outcomes are the longer term or permanent change or improvement expected in 

the community due to the volunteers and their services. The outcome is selected using the pull 

down menu in the eGrants PMM. As noted in the requirement sections, a minimum of 10 

percent of your total unduplicated volunteers must be in assignments with outcomes 

(j) Instrument used for Tracking Output: This is the tool that will be used for data collection. 

The Instrument is selected using the pull down menu in the eGrants PMM. 

6.1 Which sections of the Work Plan must be completed for the no more than 10 percent of 

unduplicated Senior Companion volunteers can be placed in assignments that address the 

Assisted Living Output Measure? 

(a) Description of Community Need: The description of the community need must be completed for each 

output you select. This needs statement should explain the compelling need that will be addressed by 

the volunteers. When you develop your community need, be sure to:

 Describe the need in enough detail to convey its importance in the community. Use of local 

statistics can be helpful to make your case.

 Describe the consequences of the need going unmet in the community.

 Describe why Senior Companion volunteers can be effective resources to meet the need.

 Describe the need in a way that is clear to people unfamiliar with your community. Do not 

assume that other readers have an existing understanding.

(b) Primary Focus Area and Objective: For SCP, the Primary Focus Area is Healthy Futures. The 

Objective is Aging in Place. Complete these items by selecting the correct options on the pull down 

menus in the eGrants PMM.

(c) Output: Outputs are the immediate results of the volunteers’ services. These are usually counts –

numbers of clients served, etc. The output is selected using the pull down menu in the eGrants PMM.

(d) Service Activity: The service activity is the actual task (such as tutoring, mentoring) that the volunteers 

will perform. For each output, you may select more the one service activity. The service activities are 

selected using the pull down menu in the eGrants PMM. For each service activity selected, the 

eGrants PMM will create a separate work plan.

(e) Number of Unduplicated Volunteers: This is the proposed number of volunteers who will be 

performing each service activity. Each volunteer can only be counted once when assigned to a service 
22

activity. The volunteer should be counted in the area where he/she will make the most impact – in 

terms of the type of service or in terms of the scope of service, such as the most number of hours 

served.

(f) Total Number of Volunteers: Here, you enter the total volunteers engaged in the activities, if you 

were to assign all of them according to each activity. In this way, volunteers can be counted more 

than once – for example, if the same volunteer does two different types of activities such as 

companionship AND transportation, you can account for all assignments in this field.

(g) Targets: The target is the number that you anticipate achieving in the performance period (usually 

12 months). For example, if you think your volunteers will serve 50 clients over the course of the 

performance period, you would enter 50 as your target.

(h) Instrument used for Tracking Output: This is the tool that will be used for data collection. The 

Instrument is selected using the pull down menu in the eGrants PMM. 
23

PART IV. REQUIRED SUPPLEMENTAL DOCUMENTS LIST(eGrants “Documents” Section)

Required Supplemental Documents for New and Continuation Applicants

Required Supplemental Documents for New and Continuation Applicants 

New Applicants Continuation Applicants

Board of Directors Only if changed

Community Advisory Group names and 

addresses

Only if changed

Negotiated Indirect Cost Agreement Negotiated Indirect Cost Agreement

Organizational Chart Only if changed

Project Director’s Job Description Only if changed

Roster of Volunteer Stations Roster of Volunteer Stations

Statement of date of last A133 audit Statement of date of last A133 audit

Add a new Annual Assessment of Accomplishments and 

Impact of the Project
24

PART V – BUDGET INSTRUCTIONS: eGrants Budget Sections 

Refer to the egrants Step-by-Step Instructions for entering your budget.

(a) Multi-year applications - Complete the SF 424A Budget form requesting funds for the first annual budget 

period, following the instructions below. Multi-year project approval does not guarantee that the application 

will be approved for additional funding. If we approve an application and enter into a multi-year award 

agreement, we will issue a Notice of Grant Award (NGA) that will provide funding only for the first year. You 

must submit a continuation application, via eGrants, for each year of the award to request additional funding. 

We will use the distribution of line item amounts proposed for the first year in budgeting for subsequent years 

unless you submit an application for revising the budget. 

Your Corporation State Office will provide instructions for continuation applications. Following receipt of a 

Notice of Grant Award (NGA), you may submit applications for revision of your budget via eGrants. 

(b) Single-year applications - Complete the SF 424A Budget form for the 12-month period, following the 

instructions below. Unless otherwise instructed by an agent of the Corporation, or referenced in the Notice or 

supplemental guidance, all grants are multi-year.

General Instructions for SF 424A Budget form Columns 1, 2, 3, and 4: 

(b) In Column 1, enter the total project cost for that line item from all sources.

(c) In Column 2, enter the amount of Corporation funding requested for each line item and the total. 

(d) In Column 3, enter the amount of funds for the item that is expected to be covered by grantee funds 

or funds the grantee expects to receive from other sources, including cash and in-kind support.

(e) Required Non-Federal Share: Please see table below. In cases of demonstrated need, as specified 

in the respective program regulations, exceptions to these cost-sharing requirements may be 

allowed. 

Program Required Non-Federal Share

FGP and 

SCP

New Applicants that do not currently sponsor an FGG or SCP project:

10% of the total project cost

Current FGP or SCP sponsors applying for a renewal or continuation grant in 

their current geographic service area: 10% of the total project cost

(f) Enter any contributions in excess of required non-federal share in optional Column 4, as 

stipulated in Section 224 of the Domestic Volunteer Service Act, as amended. 

(g) For each Budget Line Item, please: 

 Briefly describe all amounts in Columns 2, 3, and 4.

Below are the following instructions for each line item of the budget form.

PART V – SECTION A. VOLUNTEER SUPPORT SERVICES 

Source of Matching Funds: Please fill in the sources of non-federal share at the beginning of eGrants 

Sections I and II.
25

NOTE: For all line items, please put the total cost in Column 1 and then use Columns 2 – 4 to identify 

the source of funds as appropriate:

Line A. Project Personnel Expenses – List the title of each staff position charged to the project. List 

all positions/titles that are either funded by CNCS, grantee share, or excess resources. 

Include:

1. The position title.

2. The full-time equivalent (FTE) annual salary. 100% FTE is normally 40 hours/week. Thus, if an 

employee works half time or 20 hours/wk for the project and is paid $10,000 from project funds, 

the FTE annual salary would be $20,000.

3. The percentage of time the person will work for the project over a 12 month year (for example, if the 

employee works 10 hours per week for the project over 12 months, you would enter 25%.). 

Line B. Personnel Fringe Benefits – Enter in the appropriate column the cost of fringe benefits to 

which employees are entitled, calculated on the same percentage time indicated under line A for each 

individual. In your Budget Narrative, provide details concerning the benefits provided. (e.g., 

Retirement contributions for all staff working over 60% time, calculated at 5% of total annual salaries of 

$80,000 = $4,000).

Line C. Project Staff Travel – Enter travel costs on the local or long-distance lines, as appropriate, on 

the Budget form. Include only travel costs for staff listed under budget line A and who directly support 

the grant activities described in your application. Local travel is travel within the project service area as 

shown in item 12 of the Face Sheet. All travel outside the service area is long distance travel. Briefly 

list the purpose of anticipated local travel and the basis for cost calculations. For long distance travel, 

show the purpose for each trip and break out for each the cost of transportation, meals and lodging, 

and other travel costs. 

Line D. Equipment - Enter on the Budget form the cost of equipment. Items costing less than $5,000 

should be listed in supplies.

Line E: Supplies. List the types of supplies and their respective costs. Please itemize large items.

Line F. Contractual and Consultant Services - Enter the cost of contracts and consultants as 

appropriate. In your Narrative itemize each contract or consultant and provide a brief justification of the 

need for each. Include here all services documented in a contract, such as clerical support, training 

consultants, equipment repair and maintenance, or bookkeeping services.

Line G. Other Volunteer Support Costs – Briefly describe all other allowable Volunteer Support 

Expenses not included in categories A through F, such as criminal history background checks, training, 

evaluation services, and other items and briefly describe. 

 All employees or other individuals who receive a salary or similar payment from the grant 

(federal or non-federal share). 

Line H. Indirect Costs – Enter indirect charges applicable to volunteer support expenses. In your 

Narrative, describe the type of rate (provisional, predetermined, final or fixed) in effect during the 

budget period, estimated amount of the base to which the indirect rate was applied, and total indirect 

expense. Attach a copy of the current negotiated indirect cost agreement with the cognizant federal 

agency.
26

TOTAL BUDGET SECTION I - Enter the sum of direct and indirect costs from Section I in columns 1, 

2, 3, and 4 as appropriate. 

PART V – SECTION B. VOLUNTEER EXPENSES

Line A. Stipends – Stipends are applicable to Foster Grandparent and Senior Companion volunteers 

only. Please enter as appropriate the number of Volunteer Service Years (VSYs) proposed in each 

category and multiply the numbers of VSYs times the annual stipend. Note: Current annual stipend is 

$2,766 based on 1 VSY @ 1,044 hours x hourly stipend of $2.65

DO NOT include monetary incentives for Senior Companion Leaders in the stipend 

line item.

1. CNCS-funded ____ x Annual Stipend = $_________

2. Non-CNCS-funded ____x Annual Stipend = $______

3. Non-Stipended: ____ 

NOTE: Volunteer Service Year (VSY) is a budget term which equals 1,044 hours per year. For 

example, a volunteer serving 2088 hours per year (averaging 40 hours per week) serves 2 VSYs, while 

a volunteer serving 783 hours per year (averaging 15 hours per week) serves 3⁄4 of a VSY. 

Line B. Other Volunteer Costs – Enter in the respective categories the applicable costs and 

reimbursable expenses in columns 1, 2, 3, and 4, as appropriate. In addition to stipends, FGP and 

SCP allowable costs and reimbursable expenses include: Insurance, Volunteer Travel, Physical 

examinations, Meals, Uniforms, and Recognition. FGP and SCP allowable costs and reimbursable 

expenses include: Volunteer Travel, Meals, Recognition, and Insurance. Volunteers may also be 

reimbursed for costs incurred while performing assignments – including transportation, equipment, 

supplies, etc. – provided such costs are described in the Memorandum of Understanding negotiated 

with the volunteer station where the volunteer is assigned and there are sufficient funds available to 

cover these expenses and meet all other requirements of the NGA. For SCP only, monetary incentives 

for Senor Companion Leaders should be listed in #7: Other Allowable Expenses. Use the Narrative for 

the corresponding line to provide explanation or show calculations, as needed. 

Note on Volunteer Travel: Volunteer Travel includes volunteer transportation costs such as cost of 

agency vehicles (leased or purchased), insurance, prorated maintenance costs applicable to vehicles 

based on usage, and drivers’ salaries and fringe benefits chargeable to the grant. Assignment-related 

travel is also allowable. Please enter the totals for columns 1, 2, 3, and 4 as appropriate.

TOTAL BUDGET SECTION II – The sum of Volunteer Expenses in Section II.

TOTAL PROJECT COSTS – The sum of the totals for Sections I and II in each column.

FUNDING PERCENTAGES – Totals will auto-calculate in eGrants.
27

PART VI – FUNDING/DEMOGRAPHICS INSTRUCTIONS: Estimated Funding

Line A. Total – The sum of the totals for Sections I and II will auto-calculate from sections A and B of 

your Budget.

Line B. Federal Share – The sum of the totals for Federal funding will auto-calculate from section A 

and B of your Budget.

Line C. Applicant Share - The sum of the totals for Grantee funding will auto-calculate from section A 

and B of your Budget.

Line D. Applicant Share Breakdown – Enter the breakdown of the applicant share into the following 

sources. The sum of the source amounts must add up to Line C.

 Line E. Demographics - Enter the total number of unduplicated volunteers. 
28

CONTINUATION APPLICATION INSTRUCTIONS

Must be completed by current grantees submitting a non-competitive continuation request for year 2 

or 3 of the multi-year grant.

Contact your CNCS State Office for specific timeframes for continuation application submission.

How to Submit Your Continuation Request:

 From your eGrants home page, click Continuation/Renewal. A list of applications for your 

organization will be displayed. 

 Click Continue next to the application that you plan to update and submit for your continuation. Be 

sure to select the correct application. 

 Next you will see a list of Notice options. Your CNCS State Office will provide you with the appropriate 

NOFA to select.

 After the NOFA is selected, eGrants creates the continuation application which will include a copy of all 

information from your previously awarded application. Edit your continuation application as directed in 

the continuation request instructions below. 

 When you have completed your edits, your Authorized Representative should login with their eGrants 

account and click the SUBMIT button.

If you have questions about the content of your continuation, please contact your CNCS State Office. If you 

experience problems using eGrants, contact the eGrants Help Desk at (800) 942-2677.

What to Include in Your Continuation Request:

I. Applicant Info, Application Info and Funding/Demographics

Update only if there have been significant changes at your project or organization. 

II. Narratives

The Executive Summary should be reviewed and updated to ensure that the outcomes reflect any 

changes made in the Work Plans. All other narratives should only be updated if the information is no 

longer accurate due to project or sponsor organization changes. If the narrative information is accurate, 

leave it unchanged in the continuation application.

III. Work Plan

Information will copy from your previously awarded application into your continuation application. Work 

Plans are designed to align with the 12-month performance period. Update the Work Plans as needed to 

reflect the upcoming performance period for the continuation.

IV. Documents

Refer to the Continuation column on pages ___ and send the required documents to your CNCS State 

Office.

V. Budget

Update the budget for the upcoming year. Incorporate any changes such as a new source of non-federal 

funds, adjustments to recognition, or personnel changes. The non-federal share must increase to 20% in 

year 2 and 30% in year 3 and subsequent years.
29

PART I – FACESHEET OMB No. 3045-0035 Expiration Date ______

APPLICATION FOR FEDERAL ASSISTANCE 1.TYPE OF SUBMISSION:

Application Non-Construction

2. DATE SUBMITTED TO 

CORPORATION FOR NATIONAL AND 

COMMUNITY SERVICE (CNCS): 

3. a. DATE RECEIVED BY STATE: 3.b. STATE APPLICATION IDENTIFIER:

4. a. DATE RECEIVED BY CNCS: 4.b. CNCS GRANT NUMBER:

5. APPLICANT INFORMATION

LEGAL NAME: 

ORGANIZATIONAL UNIT: 

NAME AND CONTACT INFORMATION FOR PROJECT DIRECTOR OR 

OTHER PERSON TO BE CONTACTED ON MATTERS INVOLVING THIS 

APPLICATION (give area codes):

ADDRESS (give street address, city, county, state and zip code): NAME: 

TELEPHONE NUMBER: ( ) -

FAX NUMBER: ( ) -

INTERNET E-MAIL ADDRESS: 

WEBSITE: 

6. EMPLOYER IDENTIFICATION NUMBER 

(EIN):

6A. DUNS Number: 7.a. TYPE OF APPLICANT: (enter appropriate letter in box) 

A. State H. Independent School District

B. County I. State Institution of Higher Learning

C. Municipal J. Private University 

D. Township K. Indian Tribe

E. Interstate L. Individual

F. Intermunicipal M.Profit Organization

G. Special District N. Private Non-Profit Organization

O. Other (specify)

7.b. CNCS APPLICANT CHARACTERISTICS 

Enter appropriate code in each blank: ______, ______, ______, 

8. TYPE OF APPLICATION (Check appropriate box):

NEW CONTINUATION

REVISION 

If Revision, enter appropriate letter(s) in box(es):

A. Increase Award: B. Decrease Award: 

 C. Increase Duration: to (enter date)

 D. Decrease Duration: to (enter date)

 E. OTHER (specify): 

 

9. NAME OF FEDERAL AGENCY:

Corporation for National and Community Service

10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER:

 

Name of Program ___________-

__________________________________________

11. a. TITLE OF APPLICANT’S PROJECT:

12. AREAS AFFECTED BY PROJECT (List Cities, Counties, States, 

etc.): 14. PERFORMANCE PERIOD: Start Date End Date: 

 

13. PROPOSED PROJECT: START DATE: END DATE: 

15. ESTIMATED FUNDING: Check applicable box: Yr 1: Yr.2: or Yr 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE

a. FEDERAL $ ORDER 12372 PROCESS?

 a. YES. THIS PREAPPLICATION/APPLICATION WAS MADE 

b. APPLICANT $

 TO THE STATE EXECUTIVE ORDER 12372 PROCESSS FOR

 REVIEW ON:

c. STATE $

 DATE ___________________________________

 b. NO. PROGRAM IS NOT COVERED BY E.O. 12372

d. LOCAL $

 

 OR PROGRAM HAS NOT BEEN SELECTED BY STATE 

FOR 

 REVIEW e. OTHER $

17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT?

f. TOTAL $ YES If “Yes,” attach an explanation. NO

18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT, THE 

DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE 

ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED.

a.TYPED NAME OF AUTHORIZED REPRESENTATIVE: b.TITLE: c.TELEPHONE NUMBER:

d.SIGNATURE OF AUTHORIZED REPRESENTATIVE: e.DATE SIGNED:

-
30

Modified Standard Form 424-NSSC (Rev. 3/03 to conform to the CNCS eGrants system)
31

ROSTER OF ACTIVE VOLUNTEER STATIONS

INSTRUCTIONS

The accompanying template in Excel corresponds to these instructions. The Volunteer Station 

Roster must be completed using the MS Excel workbook template. 

The workbook template contains the following parts:

Tab 1: Instructions

Tab 2: Volunteer Station Roster template

Tab 3: Volunteer Station Types

The purpose of this form is to provide information about each active volunteer station. 

For New Applicants: The definition of “active volunteer station” is any volunteer station where you 

intend to place RSVP volunteers if the grant application is funded. If the grant application is funded, 

the Volunteer Station Roster will be updated at a later time to reflect actual volunteer placement.

The definition of “active volunteer station” is any volunteer station with which you have an MOU. 

Please make every effort to provide complete and accurate data.

For each header item with a small red triangle in the upper right corner of the cell: if you place your 

cursor over the cell and wait a few seconds (“hover”), a “pop-up” comment box, with further 

description, will appear.

Note that the spreadsheet will “scroll” up and down, leaving the column names and station names 

visible at all times.

Please do not change the location of each data item (e.g., moving cells or columns), as this is a 

standardized form.
32

PUBLIC BURDEN STATEMENT: Public reporting burden for this collection of information is estimated to 

average 5 hours per submission, including reviewing instructions, gathering and maintaining the data needed, 

and completing the form. Comments on the burden or content of this instrument may be sent to the 

Corporation for National and Community Service, Attn: Amy Borgstrom, 1201 New York Avenue, NW,

Washington, D.C. 20525. The Corporation informs people who may respond to this collection of information 

that they are not required to respond to the collection of information unless the OMB control number and 

expiration date displayed on page 1 are current and valid. (See 5 C.F.R. 1320.5(b)(2)(i).) 

PRIVACY ACT NOTICE: The Privacy Act of 1974 (5 U.S.C § 552a) requires that the following notice be 

provided to you: The information requested on the Senior Corps Grant Application is collected pursuant to 42 

U.S.C 12592 and 12615 of the National and Community Service Act of 1990 as amended, and 42 U.S.C. 4953 

of the Domestic Volunteer Service Act of 1973 as amended. Purposes and Uses - The information requested 

is collected for the purposes of reviewing grant applications and granting funding requests. Routine Uses -

Routine uses may include disclosure of the information to federal, state, or local agencies pursuant to lawfully 

authorized requests. In some programs, the information may also be provided to federal, state, and local law 

enforcement agencies to determine the existence of any prior criminal convictions. The information may also 

be provided to appropriate federal agencies and Department contractors that have a need to know the 

information for the purpose of assisting the Department’s efforts to respond to a suspected or confirmed 

breach of the security or confidentiality or information maintained in this system of records, and the information 

disclosed is relevant and unnecessary for the assistance. The information will not otherwise be disclosed to 

entities outside of the Corporation for National and Community Service without prior written permission. 

Effects of Nondisclosure - The information requested is mandatory in order to receive benefits. 

OMB Control Number 3045-0035

Expiration Date 6/30/2014